Adult intussusception pneumatic reduction

The only statistically significant predictor of poor outcome of AIR was time delay before attempted reduction. In coloanal intussusceptions, the preferred approach is to reduce the intussusception and then proceed with the resection Reduction can be attempted in small bowel intussusceptions provided that the segment involved is viable or a malignancy is not suspected. Primary- and secondary-level healthcare workers should have a high index of suspicion, and should always be aware of danger symptoms and signs in paediatric abdominal emergencies, as well as the importance of early referral when intussusception is considered in the differential diagnosis. Table 3 Factors affecting non-operative reduction of intussusception Full size table. Sixteen patients in whom AIR was attempted eventually required surgical intervention, either due to perforation during AIR or irreducibility.
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Combined endoscopic and surgical treatment for the polyposis of Peutz-Jeghers syndrome. Childhood intussusception: US-guided hydrostatic reduction. Emerg Radiol ;10 6 Article Google Scholar 3. The authors have referenced some of their own studies in this review. In conclusion, we reported a case of adult idiopathic ileocolic intussusception which was successfully treated with non-operative reduction under fluoroscopic guidance.
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Therapeutic Enema for Intussusception

It has been suggested that bedside ultrasonography should be made available in settings with no comprehensive radiological service. After the year , there has been a marked rise in case reports of GISTs, a trend not seen in the past. This intussusceptum had protruded per anus. An enema for intussusception is usually completed within 30 to 60 minutes. Formal bowel resection with oncological principles is followed for every case where a malignancy is suspected. Open Access News and events Contact Us. The main advantage of ultrasound guided hydrostatic reduction over reduction under fluoroscopic guidance is the avoidance of exposing young children to ionizing radiation.
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Intussusception may occur anywhere along the gastrointestinal tract; however, it often occurs at the junction of the small and large intestine. An enema or laxative may be required to help your child eliminate the barium. Apropos of a case of ileocolic intussusception secondary to cecal lipoma] Ann Radiol Paris ; 39 — Please note RadiologyInfo. Special Issues Frequently Asked Questions.
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